HUS PORVOO HOSPITAL AREA

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1 PORVOO HOSPITAL 1

2 Porvoo Hospital 2

3 HUS PORVOO HOSPITAL AREA Population and member municipalities 8/24/2016 3

4 THE JOINT AUTHORITY CONSISTS OF 5 HOSPITAL AREAS Lohja Hyvinkää Porvoo Länsi-Uusimaa Helsinki University Hospital (HUH) 4 In addition to HUS, the catchment area for highly specialized medical care of HUH also covers the hospital districts of Etelä-Karjala (Eksote) and Kymenlaakso (Carea)..

5 HUS PIONEER EFFECTIVE TREATMENT IN THE BEST INTEREST OF THE PATIENT G O A L S Patient-centered and well-timed treatment Increasingly closer partnership with basic health care High-quality research and education Effective and competitive operation R E Q U I R E M E N T S Competent and motivated staff Controlled and balanced finances Functional facilities, technology, and environmental responsibility Reformative leadership and organization Confidence from the owner communities and interest groups V A L U E S Equality Patient-centered care Creativity and innovativeness High quality and effectiveness Openness, confidence and mutual respect

6 PORVOO HOSPITAL AREA MEMBER MUNICIPALITIES IN 2015 Askola Lapinjärvi Loviisa Pornainen Loviisa Sipoo Total 5,064 (95% Finnish, 3% Swedish) 2,779 (63% Finnish, 33% Swedish) 15,480 (55% Finnish, 42% Swedish) 5,148 (96% Finnish, 2% Swedish) 15,480 (65% Finnish, 30% Swedish) 19,034 (62% Finnish, 35% Swedish) 97,233 people (Population Register Centre, 31 December, 2014) Of the total number of people, 30.1% are Swedish speaking.

7 PORVOO HOSPITAL Organisation and key figures 8/24/2016 7

8 PORVOO HOSPITAL ORGANISATION Porvoo hospital Internal medicine department Operative department Gynecology and pediatric diseases Psychiatric department Administration Internal medicine Surgery Gynecology and childbirth Psychiatry Lung diseases Anesthesiology Pediatric diseases Adolescent psychiatry Neurology Physiotherapy Pediatric psychiatry Emergency care Pediatric neurology 8

9 SERVICE PRODUCTION Production Psychiatric treatment days NordDRG products (inc. treatment periods) 7,187 7,491 6,990 26,821 27,320 28,483 Hospital visits 91,909 95,214 97,739 Emergency care visits 15,006 15,198 15,410 Transfer delay days (billed) Referrals (elective) 11,997 12,677 12,800 Surgeries 3,705 3,755 3,639 Childbirths

10 HOSPITAL BEDS Unit Internal medicine, lung diseases, neurology Surgery 31 Psychiatry 30 Gynecology and childbirth 15 Pediatric diseases 6 Total Beds in intensive monitoring 10

11 OPERATING REVENUE AND EXPENSES IN 2015 Operating revenue Operating expenses 11 % 4 %1 % Member municipalities payments 10 % 7 % Staff expenses Healthcare sales Services bought 84 % Hospital fees and compensations Other revenue 35 % 48 % Material costs Other operating expenses euros euros 8/24/

12 STAFF Other specialist staff Other staff 12 % Doctors 14 % Approximately 600 employees in Porvoo hospital Nursing staff 68 % Nursing staff Doctors Other staff Other specialist staff 12

13 HEALTHCARE SERVICES Joint emergency clinic with Eastern Uusimaa municipalities Internal medicine services Surgical services Pediatric and gynecological services Psychiatry services 8/24/

14 HUS AND EASTERN UUSIMAA JOINT EMERGENCY CLINIC Askola Lapinjärvi Pornainen 8/24/

15 EMERGENCY SERVICES The goal of the new joint emergency clinic is to provide acutely ill patients with equal, well-timed access to high quality, effective care For an individual patient, our goals are safe practices, smooth treatment processes, and as short waiting times as possible Patients are admitted to the hospital with a referral from emergency services, and occasionally even without referrals in serious emergencies During night-time from 10:00pm to 8:00am, Porvoo Hospital emergency clinic is the only on-duty clinic in the whole Eastern Uusimaa area

16 INTERNAL MEDICINE SERVICES Emergency care and monitoring Cardiological-neurological ward Lung and infectious diseases ward Infectious diseases, rheumatology, haematology, nephrology, gastroenterolgy, endocrinology, lung diseases, cardiology and general internal medicine specialized outpatient clinics. Dialysis Day hospital and endoscopy Social work 8/24/

17 SURGICAL SERVICES Gastrointestinal surgery, orthopedics, urology, general surgery, breast surgery and plastic surgery Ear, nose and throat diseases Surgical ward Anesthesia and operating unit, and recovery room Physiotherapy Outpatient clinic for surgical appointments 8/24/

18 PEDIATRIC AND YOUTH SERVICES Pediatric Outpatient Clinic and pediatric ward (6 hospital beds) Pediatric Psychiatry Outpatient Clinic (locations in Porvoo, Loviisa and Sipoo) Pediatric Neurology Outpatient Clinic (3 days a week, no work group) 8/24/

19 GYNECOLOGY SERVICES Gynecology and childbirth ward (15 hospital beds) Birthing room (3 rooms) Gynecological Outpatient Clinic Maternity Outpatient Clinic (inc. prenatal screening and breastfeeding clinic) 8/24/

20 PSYCHIATRY SERVICES Acute Psychiatry Emergency Clinic 24/7 and ward (14 hospital beds) - with or without a referral, urgent care within 7 days - emergency consultations, M1 monitoring referral Outpatient Clinics with bookable appointments (Porvoo, Loviisa and Sipoo) Psychiatric Rehabilitation Outpatient Clinic and ward (16 hospital beds) Occupational Therapy Center 8/24/

21 ADOLESCENT PSYCHIATRY SERVICES Adolescent Psychiatry Outpatient Clinic - Outpatient clinic with bookable appointments in Porvoo - Walk-in and call-in service - Emergency assessment in psychiatric emergency services - Treatment on the ward in centralized units (HUH) 8/24/

22 NURSING PRACTICE 8/24/

23 NURSING PRACTICE IN HUS PORVOO HOSPITAL Nursing practice in HUS is guided by patient-centered, evidence-based practice, patient safety, and multiprofessional and collegial atmosphere We follow the shared healthcare ethical guidelines (Etene 2001), the ethical guidelines of different professional groups, and the rules set together in the units Members of the nursing staff work independently (nurse s appointments), and in multi-professional work groups (consultation meetings), and treat patients according to the given instructions in all hospital departments. 8/24/

24 THE MODEL OF PROFESSIONAL NURSING PRACTICE AT HUS The patient will be helped Good care results Good management Functional structures Good-quality professional operation New knowledge, innovations and improvements Our way to operate The vision for nursing at HUS and the action and implementation plan Vision, strategy and values of HUS, internal guidelines Legislation, ethical guidelines, national and international policy definitions 8/24/

25 THE PARTICIPATION STRUCTURE OF NURSING PRACTICE IN HUS Expert group on care quality and safety Expert group on expertise in nursing science and professional development Expert group on patientcentered nursing The patient will be helped Expert group on information management in nursing Expert group on economic efficiency and productivity in nursing Expert group on nursing research and evidencebased practice 8/24/